Bronchiectasis

Question 1

what?

Answer 1

chronic infection of bronchi and bronchioles leading to permanent dilatation of airways

Question 2

mains organisms

Answer 2

H.influenza, staph aureus, strep pneumoniae, pseudomonas aeruginosa

Question 3

congenital causes

Answer 3

youngs syndrome, primary biliary dyskinesia

Question 4

post-infection causes

Answer 4

measles, pertussis, bronchiolitis

Question 5

other causes

Answer 5

bronchial obstruction

Question 6

symptoms

Answer 6

1. persistent cough
2. sputum
3. intermittent haemoptysis

Question 7

signs

Answer 7

1. finger clubbing
2. coarse inspiratory crepitations
3. wheeze

Question 8

tests

Answer 8

CXR: cystic shadows, thickened bronchial walls

sputum culture

Question 9

complications

Answer 9

1. pneumonia
2. pleural effusion
3. pneumothorax
4. haemoptysis

Question 10

management

Answer 10

1. postural drainage
2. antibiotics
3. bronchodilators
4. corticosteroids
5. surgery